Provider Demographics
NPI:1881993699
Name:ABSHIR, M.Y. (PHARMD)
Entity type:Individual
Prefix:DR
First Name:M.Y.
Middle Name:
Last Name:ABSHIR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6244 LAKE WORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76135-3705
Mailing Address - Country:US
Mailing Address - Phone:817-238-0385
Mailing Address - Fax:
Practice Address - Street 1:6244 LAKE WORTH BLVD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-3705
Practice Address - Country:US
Practice Address - Phone:817-238-0385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2021-07-09
Deactivation Date:2016-10-11
Deactivation Code:
Reactivation Date:2021-07-09
Provider Licenses
StateLicense IDTaxonomies
TX42808183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist